The California workers’ compensation program can help people address the costs of on-the-job injuries. Workers’ compensation pays for all necessary medical treatments.
Injured professionals and those sickened due to job responsibilities may also be eligible for disability benefits. Workers’ compensation replaces a portion of their lost income until they can return to work.
Typically, any medical condition directly connected to employment is potentially eligible for workers’ compensation coverage. However, sometimes there are questions about the origins of an injury or illness. What happens when a worker claims that their employment caused their condition, but other parties believe the issue began outside of work?
A special evaluation may be necessary
Disputes about the origins of medical conditions, the treatment plan for an injured professional or the ability of a professional to return to work may require a specialized medical test. The California workers’ compensation program partners with medical professionals who serve as neutral professionals to help resolve disputes.
A qualified medical evaluator (QME) can conduct an in-depth assessment of the worker’s condition. They can affirm that the condition began due to the worker’s job functions.
They can evaluate the treatment plan and determine if the worker can safely return to work, either with or without accommodations. Both the injured professional and their employer potentially have the option of requesting an evaluation conducted by a QME.
Doing so may be the most effective way to resolve a dispute related to workers’ compensation benefits. Injured professionals often need assistance when there are questions about their conditions or their treatment plans.
